Peds - Hematological

The nurse reinforces home-care instructions to the parents of a 3-year-old child who has been hospitalized with hemophilia. Which statement by a parent indicates the need for further teaching?

"I will avoid immunizations and dental hygiene treatments for my child."

The pediatric nursing instructor asks a nursing student to describe the cause of the symptoms that occur in sickle cell disease. Which is the correct response by the nursing student?

"Sickled cells are unable to flow easily through the microvasculature, and their clumping obstructs blood flow."

The nurse reinforces home care instructions to a client with sickle cell anemia. Which statement by the client indicates a need for further teaching?

"When I'm feeling better, I'm returning to the soccer team."

A child with sickle cell anemia is being discharged after treatment for a crisis. Which instructions should the nurse reinforce to prevent another crisis from occurring? Select all that apply.

- Drink plenty of fluids - Report a sore throat immediately - Wash hands before meals and after playing.

The nurse is caring for a child with a platelet disorder and should expect which prescriptions from the health care provider? Select all that apply

- Observe for bleeding. - Encourage the child to rest - Assist the RN with blood transfusions

The nurse is reviewing a health care provider's prescription for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescriptions documented in the child's record should the nurse question? Select all that apply.

- Restrict fluid intake - Administer meperidine (Demerol) 25 mg for pain

The nurse and a mother are discussing care of her child's iron deficiency anemia and the nurse should suggest including which foods in the child's diet that are highest in iron? Select all that apply.

- Spinach - Apricots - Raisins

The parents of a child with sickle cell disease are both carriers of the gene and ask the nurse how likely it is that they will have another biological child with the disease. What is the correct percent? Fill in the blank.

25%

The nurse, caring for a child with aplastic anemia, is reviewing the laboratory results and notes a white blood cell (WBC) count of 6000 cells/mm3 and a platelet count of 20,000 cells/mm3. Which nursing intervention should be incorporated into the plan of care?

Encourage quiet play activities.

The nurse reinforces instructions to the mother of a child with sickle cell disease regarding the precipitating factors related to pain crisis. Which, if identified by the mother as a precipitating factor, indicates the need for further teaching?

Fluid overload

The nurse is reviewing the laboratory results of a child with aplastic anemia and notes that the white blood cell (WBC) count is 2000 cells/mm3, and the platelet count is 150,000 cells/mm3. Which nursing intervention should the nurse incorporate into the plan of care?

Maintain strict isolation precautions.

A nursing student is assigned to care for a child with hemophilia. The nursing instructor reviews the plan of care with the student and asks the student to describe the characteristics of this disorder. Which statement by the student indicates a need for further research?

Males inherit hemophilia from their fathers.

The nurse is reinforcing home care instructions to the mother of an infant who has just been found to have hemophilia. The nurse should instruct the mother to do which?

Pad crib rails and table corners.